Individual
MS. LISA M MASINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
Mailing address
520 W HURON ST APT 518, CHICAGO, IL 60610-3439
(312) 751-6007
(312) 751-6007
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
036118630
IL
207VX0000X
Obstetrics Physician
Primary
036118630
IL
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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